A medical assistant is caring for a Muslim patient of the opposite gender. Which of the following actions could be considered inappropriate?
Avoiding intense eye contact
Reassuring the patient by touching them
Maintaining distance from the patient
Using gestures cautiously
The Correct Answer is B
A. Avoiding intense eye contact: Avoiding intense eye contact is generally respectful and can be appropriate depending on cultural norms.
B. Reassuring the patient by touching them: In some Muslim cultures, physical contact between individuals of the opposite gender who are not family members may be considered inappropriate.
C. Maintaining distance from the patient: Maintaining a respectful distance is generally appropriate and often preferred in various cultures.
D. Using gestures cautiously: Using gestures cautiously is respectful and avoids miscommunication.
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Correct Answer is A
Explanation
A. Place the arm electrodes facing downward. The arm electrodes should be placed with the tabs facing downward to reduce the risk of artifacts on the EKG tracing caused by movement or improper lead contact.
B. Place the electrodes over bony prominences when possible. Electrodes should not be placed over bony prominences, as this can interfere with the accuracy of the EKG reading. Instead, they should be placed on soft tissue.
C. Place the leg electrodes downward. Leg electrodes should also be placed with the tabs facing downward to prevent artifacts, similar to the arm electrodes.
D. Place the chest electrodes in a straight line just below the nipple. Chest electrodes should be placed according to specific anatomical landmarks, not in a straight line, to ensure accurate heart rhythm tracing.
Correct Answer is C
Explanation
A. Patient was advised to choose foods low in fiber: This may not be appropriate for all patients; dietary recommendations should be personalized and specific.
B. Patient was advised to eliminate lactose in their diet: This is only applicable if lactose intolerance or a similar condition is identified.
C. Patient was provided with a MyPlate handout: Documenting the provision of educational materials such as a MyPlate handout shows that preventative dietary guidelines were shared with the patient.
D. Patient was provided a sodium reference guide: While useful, it does not encompass the full range of preventative dietary guidelines typically covered in an annual exam.